Active NPI
Kimberly A Waugh, MD
- Diagnostic Radiology Physician
- Amarillo, TX
National Provider Identifier
1265493316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G9398
- Practice address
- 1901 Medi Park
Ste 2050
Amarillo, TX 79106-2110 - Phone
- (806) 355-3352
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G9398 | TX | Primary |
Addresses
Primary practice location
1901 Medi Park
Ste 2050
Amarillo, TX 79106-2110
Mailing address
PO Box 3780
Amarillo, TX 79116-3780
Phone (806) 355-3352
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117938406 | Medicaid | TX | |
| 8F7704 | Other | TX | BLUE CROSS |
| MDG9398 | Other | TX | WORKERS COMPENSATION |
| 126494104 | Other | FIRSTCARE | |
| 52927211 | Medicaid | NM | |
| 200023170A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1265493316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3780",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791163780",
"telephone_number": "806-355-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MEDI PARK",
"address_2": "STE 2050",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062110",
"telephone_number": "806-355-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUGH",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "G9398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117938406",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8F7704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "MDG9398",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "126494104",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52927211",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200023170A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
- Ryan Keith Watson, LPC
- Sandy Watson, L.P.C.
- Stacy Ailine Watson, M.D.
- Janet Watts, MA LPC
- Lyndsi Watts, M.S.CCC-SLP
- Wave Medical Equipment Supply L.L.C.
- Wave Medical Equipment Supply L.L.C.
- WBM Management Company (Vivians Nursing Home)
- WBM Management Coompany (Amarillo Hospice of the Plains)
- Tom Weaber
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.